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NurseAnne

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  1. Wow. You work in Paeds? I thought it was only adult medicine (and occasionally adult general surgery) where they screw with the staffing numbers so badly. I like this line that I saw today: Registered Nurse staffing levels: It's not a matter of TLC, it's a matter of life and death". People have this silly "angel" image of nursing....the hand holding and stuff. They don't realise that poor RN staffing is actually extremely deadly. They think that as long as they have a "smart" doctor and a "nice" nurse that they are in good shape. Wrong. I have been a nurse for over a d
  2. Hang on it is going to get worse.
  3. Nightowl I am afraid to say that these people do not understand the situation and are not going to make waves. Hospitals are now hell bent on getting as many patients in and out with as few qualified staff as possible, and it is going to get worse I'm afraid. They are bringing in ideas that utterly destroyed nursing care in america in the 1990's. I can't believe that they think shorter shifts are the answer. Their lack of understanding regarding nurse patient ratios and what nurses do is the problem here. I am still trying to figure out how to get threw to them. But I always hope that
  4. I hope it gets better! Please keep us updated.
  5. Or maybe the doc made a spelling error or something or didn't like the way he prescribed it so he just crossed it off and grabbed a new chart. Different charts for different areas as well.
  6. The drug chart has each drug prescribed on it with the time to be given. There are 31 horizontal boxes next to each drug because their are 31 one days in each month. On the 1st of the month I show that I gave the drug at the correct time by putting my initials in the first box. On the second day of the month I put my initials in the second box, to the right of the first. And so on and so forth. When we get to the last day of the month we are probably on the far right of the chart and there are probably no more boxes to put my initials in. Therefore I cannot give the drug until the ch
  7. A lot of good reviews here. Amazon.com: Nursing Against The Odds: How Health Care Cost Cutting, Media Stereotypes, And Medical Hubris Undermine Nurses And Patient Care (The Culture and Politics of Health Care Work) (9780801439766): Suzanne Gordon: Books The centre of nursing advocacy can have a one track mind with their reviews. They rub me the wrong way at times. I worked in the US for awhile and the UK for a long time as well. The similiaries are striking. The hospitals have behaved in the exact same manner. But the conditions here in the UK are triple brutal for nurses. The public
  8. Night Owl, The NHS is currently using world war two era models of staffing and they are doing in with lower proportions of qualified staff on the wards than you had in previous decades. When you take into account that patients are becoming sicker, more complicated, the elderly population is exploding and that we are now expected to do more with less in order to cut costs it is no wonder that standards of care are declining. The hospitals are also full of patients who would be better suited for a nursing home but there are not enough care homes to care for them all. They languish in
  9. "How self-obsessed are you? How about fireman, ambulance crew, police, teachers?" In the US registered nurses have higher salaries than all of the above listed by you. I lived there for years. I have known many fireman, teachers, cops, and ambulance crew who have gone into nursing and every single one will tell you that hospital nursing is 10x harder, with higher levels of responsibility and critical thinking skills needed. Every one of them. The UK has almost no chance of hanging onto any of her nurses. In parts of the US and Canada now, they have strictly legislated RN to patient r
  10. Since 1990 there has been something like a 110% increase in patient acuity (that means they are sicker and more complex) and a 30% reduction (intentional by management) of registered nurses at the bedside. And it gets worse every year. So I really have no patience from the input of nurses who worked years ago and left the wards pre-1990's. If you don't understand that registered nurse is not always going to be able to fill a jug or fetch a blanket (something we are not happy about, we want to do these things)then you don't really even have a fundamental understanding of what a register
  11. Sali, Nightowl's methods have been tried by thousands of nurses up and down the country for years. THey have all failed and things are getting worse. I hope she succeeds and hope that she lets us know. Since 1990 hospital managers in the globally have dealt with spiralling costs, sicker patients requiring more complex care by slashing the numbers of Registered Nurses on the wards and replacing them with untrained assistants. This is why nursing care is so bad. The nurses are overwhelmed. You are sharing your nurse with so many other people that she cannot even keep them stra
  12. Sali as a nurse I often jump right on stuff like that...asking a doc if he wants to review a patients drug chart because certain things are prescribed together etc etc. It usually takes about 3 days to sort out, so overwhelmed with jobs are the docs and nurses. As a trained nurse I have so many patients that it is completely impossible to keep on top of everything that is happening with them. I will make a mental note of anything a relative tells me and add it to the list of jobs depending on where it is on the priority scale (because they know the patient better) but I ain't stopping for mo
  13. Night Owl, I completely sympathise. You did the right thing. I have been blogging on a site called Militant Medical Nurse about these same issues. I work on a 25 bed medical unit that takes everything from care of the elderly, acute medicine, ortho, surgical, psychiatric, and HDU when no beds are available. We are lucky if we have 2 RN's per shift. The minimum safe levels of patients to RN is 1:6, and that is only if acuity is low and the RN has good back up. There is no excuse for this. Management could have these wards staffed if they wanted to. They don't want to and they kno
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